{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:02:32Z","timestamp":1762866152294},"reference-count":12,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,4,29]],"date-time":"2013-04-29T00:00:00Z","timestamp":1367193600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To report our center's experience using veno\u2010arterial extracorporeal membrane oxygenation (vaECMO) in transcatheter aortic valve implantation (TAVI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>In TAVI, short\u2010term mortality closely relates to life threatening procedural complications. VaECMO can be used to stabilize the patient in emergency situations. However, for the prophylactic use of vaECMO in very high\u2010risk patients undergoing TAVI there is no experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2009 to August 2011, we performed 131 TAVI. Emergency vaECMO was required in 8 cases (7%): ventricular perforation (<jats:italic>n<\/jats:italic>\u2009=\u20093), hemodynamic instability\/cardiogenic shock (<jats:italic>n<\/jats:italic>\u2009=\u20094), hemodynamic deterioration due to ventricular tachycardia (<jats:italic>n<\/jats:italic>\u2009=\u20091). Since August 2011, during 83 procedures, prophylactic vaECMO was systematically used in very high\u2010risk patients (<jats:italic>n<\/jats:italic>\u2009=\u20099, 11%) and emergency ECMO in one case (1%) due to ventricular perforation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Median logistic EuroScore in prophylactic vaECMO patients was considerably higher as compared to the remaining TAVI population (30% vs. 15%, <jats:italic>P<\/jats:italic>\u2009=\u20090.0003) while in patients with emergency vaECMO it was comparable (18% vs. 15%, <jats:italic>P<\/jats:italic>\u2009=\u20090.08). Comparing prophylactic to emergency vaECMO, procedural success and 30\u2010day mortality were 100% vs. 44% (<jats:italic>P<\/jats:italic>\u2009=\u20090.03) and 0% vs. 44% (<jats:italic>P<\/jats:italic>\u2009=\u20090.02), respectively. Major vascular complications and rate of life threatening bleeding did not differ between both groups (11% vs. 11%, <jats:italic>P<\/jats:italic>\u2009=\u20090.99 and 11% vs. 33%, <jats:italic>P<\/jats:italic>\u2009=\u20090.3) and were not vaECMO\u2010related.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Life\u2010threatening complications during TAVI can be managed using emergency vaECMO but mortality remains high. The use of prophylactic vaECMO in very high\u2010risk patients is safe and may be advocated in selected cases. \u00a9 2013 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.24806","type":"journal-article","created":{"date-parts":[[2013,4,1]],"date-time":"2013-04-01T06:04:43Z","timestamp":1364796283000},"source":"Crossref","is-referenced-by-count":38,"title":["Emergency and prophylactic use of miniaturized veno\u2010arterial extracorporeal membrane oxygenation in transcatheter aortic valve implantation"],"prefix":"10.1002","volume":"82","author":[{"given":"Oliver","family":"Husser","sequence":"first","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Innere Medizin II University of Regensburg Medical Center Regensburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Holzamer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Herz\u2010, Thorax\u2010, und herznahe Gef\u00e4sschirurgie University of Regensburg Medical Center Regensburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alois","family":"Philipp","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Herz\u2010, Thorax\u2010, und herznahe Gef\u00e4sschirurgie University of Regensburg Medical Center Regensburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julio","family":"Nunez","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Innere Medizin II University of Regensburg Medical Center Regensburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicente","family":"Bodi","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Innere Medizin II University of Regensburg Medical Center Regensburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Innere Medizin II University of Regensburg Medical Center Regensburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Lubnow","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Innere Medizin II University of Regensburg Medical Center Regensburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Luchner","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Innere Medizin II University of Regensburg Medical Center Regensburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dirk","family":"Lunz","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr An\u00e4sthesiologie University of Regensburg Medical Center Regensburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00fcnter A.J.","family":"Riegger","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Innere Medizin II University of Regensburg Medical Center Regensburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christof","family":"Schmid","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Herz\u2010, Thorax\u2010, und herznahe Gef\u00e4sschirurgie University of Regensburg Medical Center Regensburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Hengstenberg","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Innere Medizin II University of Regensburg Medical Center Regensburg Germany"},{"name":"Department of Cardiovascular Diseases German Heart Center Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Hilker","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Herz\u2010, Thorax\u2010, und herznahe Gef\u00e4sschirurgie University of Regensburg Medical Center Regensburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,4,29]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1008232"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1103510"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq339"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2011.06.026"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.946533"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1594.2009.00860.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-011-2383-1"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2010.08.015"},{"key":"e_1_2_6_10_1","article-title":"Early experiences with miniaturized extracorporeal life\u2010support in the catheterization 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